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ICD-10-PCS 2027 procedure code

0RWD04ZRevision of Internal Fixation Device in Left Temporomandibular Joint, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Revision of Int Fix in L Temporomandib Jt, Open Approach

Code unchanged since ICD-10-PCS took effect on October 1, 2015. Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 0RWD04Z

0RWD04Z is the ICD-10-PCS code for a revision procedure on the left temporomandibular joint using an open approach with internal fixation device. In ICD-10-PCS, revision means correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device.

In plain terms, this corresponds to other incision of facial bone, the ICD-9-CM procedure title it maps to (76.09).

For a different body part, codes include 0RW004Z (occipital-cervical joint), 0RW104Z (cervical vertebral joint), 0RW404Z (cervicothoracic vertebral joint), 0RW604Z (thoracic vertebral joint), 0RWA04Z (thoracolumbar vertebral joint), 0RWC04Z (right temporomandibular joint) and 18 more.

The same procedure with a different approach is coded 0RWD34Z (percutaneous), 0RWD44Z (percutaneous endoscopic) and 0RWDX4Z (external).

With a different device, use 0RWD00Z (drainage device), 0RWD03Z (infusion device), 0RWD07Z (autologous tissue substitute), 0RWD08Z (spacer), 0RWD0JZ (synthetic substitute) and 0RWD0KZ (nonautologous tissue substitute).

It is an operating-room procedure in the MS-DRG logic for DRG 143 (Other Ear, Nose, Mouth and Throat O.R. Procedures with MCC), DRG 144 (Other Ear, Nose, Mouth and Throat O.R. Procedures with CC) and DRG 145 (Other Ear, Nose, Mouth and Throat O.R. Procedures without CC/MCC), under the surgical category “Other Ear, Nose, Mouth and Throat O.R. Procedures”.

It has been valid since ICD-10-PCS took effect on October 1, 2015.

What each character means

1. Section
0Medical and Surgical
2. Body System
RUpper Joints
3. Operation
WRevision

Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device

Revision can include correcting a malfunctioning or displaced device by taking out or putting in components of the device such as a screw or pin

Includes: Adjustment of position of pacemaker lead, recementing of hip prosthesis

4. Body Part
DTemporomandibular Joint, Left
5. Approach
0Open

Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure

6. Device
4Internal Fixation Device
7. Qualifier
ZNo Qualifier

Other versions of this procedure

MS-DRG v44.0 grouping

All DRGs →

Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.

ICD-9-CM equivalent

Converter →
  • 76.09Other incision of facial boneapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about 0RWD04Z

Is 0RWD04Z a valid ICD-10-PCS code for 2027?

Yes. 0RWD04Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0RWD04Z an O.R. procedure?

Yes. 0RWD04Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0RWD04Z group to?

Depending on the principal diagnosis, 0RWD04Z can group to MS-DRG 143, MS-DRG 144 and MS-DRG 145.

What is the ICD-9 procedure code for 0RWD04Z?

The CMS GEMs map 0RWD04Z to ICD-9-CM 76.09 (Other incision of facial bone).